Individual
SAMANTHA MOSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
50 MAUDE ST, ROGER WILLAIMS ONCOLOGY CENTER, PROVIDENCE, RI 02908-4325
(401) 456-6513
Mailing address
50 MAUDE ST, ROGER WILLIAMS CANCER CENTER, PROVIDENCE, RI 02908-4325
(401) 456-6513
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
3861
MA
133V00000X
Registered Dietitian
Primary
LDN00872
RI
Other
Enumeration date
04/14/2016
Last updated
05/25/2016
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